The 2023 MDPI Annual Report has
been released!
 
33 pages, 640 KiB  
Review
The Polypill: A New Alternative in the Prevention and Treatment of Cardiovascular Disease
by Enma V. Páez Espinosa, Eugenia Mato Matute, Delia M. Sosa Guzmán and Fadi T. Khasawneh
J. Clin. Med. 2024, 13(11), 3179; https://doi.org/10.3390/jcm13113179 (registering DOI) - 29 May 2024
Abstract
Cardiovascular disease (CVD) is the primary cause of death and disability worldwide. Although age-standardized CVD mortality rates decreased globally by 14.5% between 2006 and 2016, the burden of CVD remains disproportionately higher in low- and middle-income countries compared to high-income countries. Even though [...] Read more.
Cardiovascular disease (CVD) is the primary cause of death and disability worldwide. Although age-standardized CVD mortality rates decreased globally by 14.5% between 2006 and 2016, the burden of CVD remains disproportionately higher in low- and middle-income countries compared to high-income countries. Even though proven, effective approaches based on multiple-drug intake aimed at the prevention and treatment of CVD are currently available, poor adherence, early discontinuation of treatment, and suboptimal daily execution of the prescribed therapeutic regimes give rise to shortfalls in drug exposure, leading to high variability in the responses to the prescribed medications. Wald and Law, in their landmark paper published in BMJ 2003, hypothesized that the use of a fixed-dose combination of statins, β-blockers, angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and aspirin (classic Polypill composition) may increase adherence and decrease CVD by up to 80% when prescribed as primary prevention or in substitution of traditional protocols. Since then, many clinical trials have tested this hypothesis, with comparable results. This review aims to describe the available clinical trials performed to assess the impact of fixed-dose combinations on adherence, cost-effectiveness, and the risk factors critical to the onset of CVD. Full article
(This article belongs to the Section Cardiovascular Medicine)
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17 pages, 7866 KiB  
Article
Development of Gold Inks for Inkjet Printing of Gas Sensors Electrodes on Plastic Support
by Bastien Le Porcher, Mathilde Rieu and Jean-Paul Viricelle
Electronics 2024, 13(11), 2110; https://doi.org/10.3390/electronics13112110 (registering DOI) - 29 May 2024
Abstract
Among the conventional inks used for inkjet printing, metals, oxides, or polymers have been deposited in order to form functional coatings. Gold is one of the most used metals for electrode fabrication in the gas sensor field due to its inert behavior when [...] Read more.
Among the conventional inks used for inkjet printing, metals, oxides, or polymers have been deposited in order to form functional coatings. Gold is one of the most used metals for electrode fabrication in the gas sensor field due to its inert behavior when exposed to reactive gases and conductive properties. However, only a few commercial gold inks are commercially available, and the combination of excessive price, a high minimum purchase quantity, and an unknown composition renders the actual products unappealing. To meet these shortcomings, gold inks were formulated with different solvents in order to reach sufficient properties for the inkjet printing process, such as surface tension and viscosity. On the one hand, gold ink was developed using a gold nanoparticle (AuNP) solution as the metal. This ink was optimized from nanoparticle synthesis, with the ink formulation obtaining a 32 mN·m−1 surface tension and 11.2 mPa·s viscosity in order to be inkjet-printed onto polyimide foil. On the other hand, a particle-free ink, called a precursor based of ink, was also developed. In this case, ink was made by solubilizing gold salt in aqueous medium in order to reach jettable properties. Surface tension was measured at 32 mN·m−1 while viscosity was 14.0 mPa·s. Then, printing and deposition parameters were optimized in order to obtain a highly conductive gold coating. The measured resistivity was 2 × 10−7 Ω·m which is close to the bulk gold conductive value. These coatings could be used for the fabrication of various devices in different working fields. Full article
(This article belongs to the Section Microelectronics)
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12 pages, 1160 KiB  
Article
Entropy Production in Reaction–Diffusion Systems Confined in Narrow Channels
by Guillermo Chacón-Acosta and Mayra Núñez-López
Entropy 2024, 26(6), 463; https://doi.org/10.3390/e26060463 (registering DOI) - 29 May 2024
Abstract
This work analyzes the effect of wall geometry when a reaction–diffusion system is confined to a narrow channel. In particular, we study the entropy production density in the reversible Gray–Scott system. Using an effective diffusion equation that considers modifications by the channel characteristics, [...] Read more.
This work analyzes the effect of wall geometry when a reaction–diffusion system is confined to a narrow channel. In particular, we study the entropy production density in the reversible Gray–Scott system. Using an effective diffusion equation that considers modifications by the channel characteristics, we find that the entropy density changes its value but not its qualitative behavior, which helps explore the structure-formation space. Full article
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8 pages, 240 KiB  
Article
The Association between the Dietary Antioxidant Index and Weight Status in Primary School Students: An Epidemiological Study
by Stamatia Kokkou, Venetia Notara, Aikaterini Kanellopoulou, George Antonogeorgos, Andrea Paola Rojas-Gil, Ekaterina Kornilaki, Areti Lagiou and Demosthenes Panagiotakos
Nutrients 2024, 16(11), 1667; https://doi.org/10.3390/nu16111667 (registering DOI) - 29 May 2024
Abstract
Obesity is an emerging threat and a current challenge for children and adolescents worldwide. The aim of the present work was to evaluate the relationship between the Dietary Antioxidant Index (DAI) and the weight status of students in early adolescence. A sample of [...] Read more.
Obesity is an emerging threat and a current challenge for children and adolescents worldwide. The aim of the present work was to evaluate the relationship between the Dietary Antioxidant Index (DAI) and the weight status of students in early adolescence. A sample of 1580 students aged 10–12 years from 47 primary schools in Greece were enrolled. Anthropometric characteristics were assessed, and calculation of the Body Mass Index (BMI) was used to categorize students into two weight-status groups. Dietary habits and physical activity were evaluated using a self-completed questionnaire, and the DAI was calculated through derived micronutrients’ content, along with energy, macro-, and micro-nutrient intake. Crude and adjusted regression analysis showed a significant inverse association of the DAI and body weight status (Odds Ratio (OR): 0.719, 95% Confidence Interval (CI): 0.576; 0.897, and adjusted Odds Ration (aOR): 0.667, 95% CI: 0.489; 0.907). An antioxidant diet seems to play a protective role against increased body weight among students in early adolescence. Thus, dietary patterns rich in antioxidants should be promoted to facilitate healthy habits early in life, and to fight the obesity threat. Full article
(This article belongs to the Special Issue Dietary Strategies for Obesity)
14 pages, 4651 KiB  
Article
Chemical-Saving Potential for Membrane Bioreactor (MBR) Processes Based on Long-Term Pilot Trials
by Sofia Lovisa Andersson, Christian Baresel, Sofia Andersson, Klara Westling, Mikael Eriksson, Andrea Carranza Munoz, Gabriel Persson, Mayumi Narongin-Fujikawa, Kristin Johansson and Tomas Rydberg
Membranes 2024, 14(6), 126; https://doi.org/10.3390/membranes14060126 (registering DOI) - 29 May 2024
Abstract
Membrane bioreactors (MBRs) have gained attraction in municipal wastewater treatment because of their capacity to meet strict water quality standards and support water reuse. Despite this, their operational sustainability is often compromised by high resource consumption, especially regarding the use of chemicals for [...] Read more.
Membrane bioreactors (MBRs) have gained attraction in municipal wastewater treatment because of their capacity to meet strict water quality standards and support water reuse. Despite this, their operational sustainability is often compromised by high resource consumption, especially regarding the use of chemicals for membrane cleaning. This study explores innovative membrane-cleaning strategies to enhance the sustainability of MBR processes. Through long-term pilot trials at Stockholm’s largest wastewater treatment plant, this study showed that alternative cleaning strategies can reduce chemical use by up to 75% without sacrificing treatment performance. The results further suggest that these alternative strategies could result in cost reductions of up to 70% and a reduction in environmental impacts by as much as 95% for certain indicators. Given that MBRs play a crucial role in addressing increasing treatment demands and advancing circular water management, the outcomes of this study are beneficial for the broader adoption of MBR processes. These results also have implications for existing installations, offering a pathway to more sustainable wastewater treatment. Moreover, the presented cleaning strategies provide significant opportunities for lowering operational costs and reducing the environmental footprint of new and existing MBR installations. Full article
(This article belongs to the Topic Technologies for Wastewater and Sludge Treatment)
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17 pages, 38110 KiB  
Article
Barrier Properties of Cr/Ta-Coated Zr-1Nb Alloy under High-Temperature Oxidation
by Maxim Sergeevich Syrtanov, Stepan Pavlovich Korneev, Egor Borisovich Kashkarov, Dmitrii Vladimirovich Sidelev, Evgeny Nikolaevich Moskvichev and Viktor Nikolaevich Kudiiarov
Metals 2024, 14(6), 645; https://doi.org/10.3390/met14060645 (registering DOI) - 29 May 2024
Abstract
In this paper, Cr (8 μm)/Ta (3 μm) bilayer coatings deposited on a Zr-1Nb alloy substrate were investigated and compared with a Cr-coated alloy under high-temperature steam oxidation at 1200–1400 °C. The bilayer coatings with α- and β-Ta interlayers were obtained by magnetron [...] Read more.
In this paper, Cr (8 μm)/Ta (3 μm) bilayer coatings deposited on a Zr-1Nb alloy substrate were investigated and compared with a Cr-coated alloy under high-temperature steam oxidation at 1200–1400 °C. The bilayer coatings with α- and β-Ta interlayers were obtained by magnetron sputtering. The Cr/Ta-coated samples were studied using scanning electron microscopy (SEM), X-ray diffraction (XRD), and optical microscopy (OM). The coating with an α-Ta interlayer can suppress the interdiffusion of chromium and zirconium more effectively up to 1330 °C in comparison with the coating having a β-Ta interlayer. The weight gain of the α-Ta-coated samples after oxidation at 1200 °C for 2000 s was 5–6 times lower than that of the Cr-coated Zr alloy samples. Oxidation at 1400 °C for 120 s showed no significant difference in the weight gain of the Cr- and Cr/Ta-coated Zr-1Nb alloy samples. It was shown that the effect of suppression of Zr-Cr interdiffusion by the barrier coating (α- and β-Ta) is only short-term. Full article
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18 pages, 929 KiB  
Review
End Organ Affection in Sickle Cell Disease
by Tanvi Bathla, Saran Lotfollahzadeh, Matthew Quisel, Mansi Mehta, Marina Malikova and Vipul C. Chitalia
Cells 2024, 13(11), 934; https://doi.org/10.3390/cells13110934 (registering DOI) - 29 May 2024
Abstract
Sickle cell disease is an orphan disease affecting ethnic minorities and characterized by profound systemic manifestations. Although around 100,000 individuals with SCD are living in the US, the exact number of individuals is unknown, and it is considered an orphan disease. This single-gene [...] Read more.
Sickle cell disease is an orphan disease affecting ethnic minorities and characterized by profound systemic manifestations. Although around 100,000 individuals with SCD are living in the US, the exact number of individuals is unknown, and it is considered an orphan disease. This single-gene disorder leads to red blood cell sickling and the deoxygenation of hemoglobin, resulting in hemolysis. SCD is associated with acute complications such as vaso-occlusive crisis, infections, and chronic target organ complications such as pulmonary disease and renal failure. While genetic therapy holds promise to alter the fundamental disease process, the major challenge in the field remains the target end organ damage and ways to mitigate or reverse it. Here, we provide an overview of the clinical manifestations and pathogenesis with a focus on end-organ damage and current therapeutic options, including recent FDA-approved stem cell and gene editing therapies. Full article
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23 pages, 4875 KiB  
Article
The Electric Vehicle Market in Brazil: A Systematic Literature Review of Factors Influencing Purchase Decisions
by Marceli Adriane Schvartz, Amanda Lange Salvia, Luciana Londero Brandli, Walter Leal Filho and Lucas Veiga Avila
Sustainability 2024, 16(11), 4594; https://doi.org/10.3390/su16114594 (registering DOI) - 29 May 2024
Abstract
Technological advancement has propelled global economic growth, but it has also led to high rates of pollution emissions, underscoring the urgency of environmental issues. The transportation sector, particularly the rise in individual vehicle ownership, significantly contributes to atmospheric pollution. In this context, Brazil [...] Read more.
Technological advancement has propelled global economic growth, but it has also led to high rates of pollution emissions, underscoring the urgency of environmental issues. The transportation sector, particularly the rise in individual vehicle ownership, significantly contributes to atmospheric pollution. In this context, Brazil faces growing challenges, largely due to the high number of individual motor vehicles. Transitioning to electric vehicles (EVs) is seen as a sustainable alternative to reduce emissions of polluting gases. However, it is important to consider that EVs may indirectly generate pollution due to energy production in thermal power plants. Nevertheless, EVs are often sought by countries to reduce dependence on imported fuels and to mitigate urban pollution. This study aims to understand the factors influencing the purchase decision of EVs in Brazil through a systematic literature review and validation by specialists using the fuzzy Delphi method. The results indicate 37 variables, grouped into five main blocks: psychological factors, performance factors, environmental factors, barriers, and prospects for the automotive sector. The validation of these variables by specialists provides a solid foundation for the next stage of the research, which involves administering the questionnaire to the general community. Considering these results will lead to strategies aimed at promoting EV adoption, in line with global sustainability challenges and the reduction in CO2 emissions. Full article
(This article belongs to the Section Sustainable Transportation)
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13 pages, 1223 KiB  
Article
Efficiency of Nitrogen Fertilization in Millet Irrigated with Brackish Water
by Geocleber Gomes de Sousa, Francisco Hermeson Rodrigues Costa, José Thomas Machado de Sousa, Murilo de Sousa Almeida, Silas Primola Gomes, Claudivan Feitosa de Lacerda, Thales Vinicius de Araújo Viana, Samuel de Oliveira Santos, Francisco Barroso da Silva Junior, Fernando Bezerra Lopes, Sílvio Carlos Ribeiro Vieira Lima and Alexsandro Oliveira da Silva
Nitrogen 2024, 5(2), 455-467; https://doi.org/10.3390/nitrogen5020029 (registering DOI) - 29 May 2024
Abstract
Nitrogen fertilization can provide greater nutritional support and mitigate salt stress in the millet crop. The aim of this study was to evaluate the physiological responses and agronomic performance of millet crop subjected to nitrogen fertilization and irrigation water salinity. The study was [...] Read more.
Nitrogen fertilization can provide greater nutritional support and mitigate salt stress in the millet crop. The aim of this study was to evaluate the physiological responses and agronomic performance of millet crop subjected to nitrogen fertilization and irrigation water salinity. The study was carried out in a greenhouse, using a completely randomized design in a 5 × 2 factorial scheme, with four replications, with five doses of nitrogen (40; 60; 80; 100 and 120 kg ha−1 of N), and two levels of electrical conductivity for the irrigation water: 0.3 and 4.0 dS m−1. We concluded that salt stress increased leaf sodium levels and had a negative impact on stalk and panicle dry mass, leaf gas exchange, mineral element concentrations (K, P, and Ca), and water use efficiency. The use of lower-salinity water associated with increased nitrogen fertilization provides greater stalk and panicle dry mass, photosynthesis, water use efficiency, chlorophyll index, leaf potassium concentration, and biomass production. The adverse effects of salt stress were evident in decreased transpiration and stomatal conductance, alongside reductions in leaf phosphorus and calcium levels, coupled with elevated leaf sodium concentrations, particularly as nitrogen fertilization rates increased in potted millet plants. These findings offer insights for devising strategies aimed at mitigating the detrimental effects of salt stress on millet plant nutrition through targeted nitrogen fertilization approaches. Full article
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13 pages, 2805 KiB  
Article
αO-Conotoxin GeXIVA[1,2] Suppresses In Vivo Tumor Growth of Triple-Negative Breast Cancer by Inhibiting AKT-mTOR, STAT3 and NF-κB Signaling Mediated Proliferation and Inducing Apoptosis
by Xijun Guo, Leping He, Weifeng Xu, Wanrong Wang, Xiaoli Feng, Yuanfeng Fu, Xiaofan Zhang, Ren-Bo Ding, Xingzhu Qi, Jiaolin Bao and Sulan Luo
Mar. Drugs 2024, 22(6), 252; https://doi.org/10.3390/md22060252 (registering DOI) - 29 May 2024
Abstract
Breast cancer is one of the leading causes of cancer mortality worldwide, and triple-negative breast cancer (TNBC) is the most problematic subtype. There is an urgent need to develop novel drug candidates for TNBC. Marine toxins are a valuable source for drug discovery. [...] Read more.
Breast cancer is one of the leading causes of cancer mortality worldwide, and triple-negative breast cancer (TNBC) is the most problematic subtype. There is an urgent need to develop novel drug candidates for TNBC. Marine toxins are a valuable source for drug discovery. We previously identified αO-conotoxin GeXIVA[1,2] from Conus generalis, which is a selective antagonist of α9 nicotinic acetylcholine receptors (nAChRs). Recent studies indicated that α9 nAChR expression is positively correlated with breast cancer development; thus, α9 nAChR could serve as a therapeutic target for breast cancer. In this study, we aimed to investigate the in vivo antitumor effects of GeXIVA[1,2] on TNBC and to elucidate its underlying anticancer mechanism. Our data showed that GeXIVA[1,2] effectively suppressed 4T1 tumor growth in vivo at a very low dose of 0.1 nmol per mouse. Our results uncovered that the antitumor mechanism of GeXIVA[1,2] simultaneously induced apoptosis and blocked proliferation. Further investigations revealed that GeXIVA[1,2]-induced Caspase-3-dependent apoptosis was achieved through regulating Bax/Bcl-2 balance, and GeXIVA[1,2]-inhibited proliferation was mediated by the downregulation of the AKT-mTOR, STAT3 and NF-κB signaling pathways. Our study provides valuable arguments to demonstrate the potential of GeXIVA[1,2] as a novel marine-derived anticancer drug candidate for the treatment of TNBC. Full article
(This article belongs to the Section Marine Toxins)
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23 pages, 3072 KiB  
Review
How the Western Diet Thwarts the Epigenetic Efforts of Gut Microbes in Ulcerative Colitis and Its Association with Colorectal Cancer
by Avisek Majumder and Shabana Bano
Biomolecules 2024, 14(6), 633; https://doi.org/10.3390/biom14060633 (registering DOI) - 29 May 2024
Abstract
Ulcerative colitis (UC) is an autoimmune disease in which the immune system attacks the colon, leading to ulcer development, loss of colon function, and bloody diarrhea. The human gut ecosystem consists of almost 2000 different species of bacteria, forming a bioreactor fueled by [...] Read more.
Ulcerative colitis (UC) is an autoimmune disease in which the immune system attacks the colon, leading to ulcer development, loss of colon function, and bloody diarrhea. The human gut ecosystem consists of almost 2000 different species of bacteria, forming a bioreactor fueled by dietary micronutrients to produce bioreactive compounds, which are absorbed by our body and signal to distant organs. Studies have shown that the Western diet, with fewer short-chain fatty acids (SCFAs), can alter the gut microbiome composition and cause the host’s epigenetic reprogramming. Additionally, overproduction of H2S from the gut microbiome due to changes in diet patterns can further activate pro-inflammatory signaling pathways in UC. This review discusses how the Western diet affects the microbiome’s function and alters the host’s physiological homeostasis and susceptibility to UC. This article also covers the epidemiology, prognosis, pathophysiology, and current treatment strategies for UC, and how they are linked to colorectal cancer. Full article
(This article belongs to the Special Issue Homocysteine and H2S in Health and Disease)
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10 pages, 2581 KiB  
Article
Impact of Cyclic Error on Absolute Distance Measurement Based on Optical Frequency Combs
by Runmin Li, Haochen Tian, Junkai Shi, Rongyi Ji, Dengfeng Dong and Weihu Zhou
Sensors 2024, 24(11), 3497; https://doi.org/10.3390/s24113497 (registering DOI) - 29 May 2024
Abstract
Absolute distance measurements based on optical frequency combs (OFCs) have greatly promoted advances in both science and technology, owing to the high precision, large non-ambiguity range (NAR), and a high update rate. However, cyclic error, which is extremely difficult to eliminate, reduces the [...] Read more.
Absolute distance measurements based on optical frequency combs (OFCs) have greatly promoted advances in both science and technology, owing to the high precision, large non-ambiguity range (NAR), and a high update rate. However, cyclic error, which is extremely difficult to eliminate, reduces the linearity of measurement results. In this study, we quantitatively investigated the impact of cyclic error on absolute distance measurement using OFCs based on two types of interferometry: synthetic wavelength interferometry and single-wavelength interferometry. The numerical calculations indicate that selecting a suitable reference path length can minimize the impact of cyclic error when combining the two types of interferometry. Recommendations for selecting an appropriate synthetic wavelength to address the tradeoff between achieving a large NAR and minimizing the risk of failure when combining the two methods are provided. The results of this study are applicable not only in absolute distance measurements but also in other applications based on OFCs, such as surface profile, vibration analysis, etc. Full article
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19 pages, 1342 KiB  
Article
Analysing the Barriers of Strategic Entrepreneurship: A DEMATEL Approach
by Shahbaz Khan, Nosheen Fatma, Sadia Samar Ali, Aruna Dhamija and Doa Naqvi
Sustainability 2024, 16(11), 4599; https://doi.org/10.3390/su16114599 (registering DOI) - 29 May 2024
Abstract
Entrepreneurship research has developed in the last twenty years and now the focus is on Strategic Entrepreneurship (SE). SE can provide the sustainable growth of an organisation and increase its competitiveness globally. Despite these advantages, developing countries cannot reap the benefits of SE [...] Read more.
Entrepreneurship research has developed in the last twenty years and now the focus is on Strategic Entrepreneurship (SE). SE can provide the sustainable growth of an organisation and increase its competitiveness globally. Despite these advantages, developing countries cannot reap the benefits of SE due to various barriers. Therefore, this study aims to identify and model the barriers of SE to the development of organisational management. Initially, the barriers of SE are identified through a literature review and further validated with a domain expert. The causal relationship among the barriers is modelled using the decision-making trial and evaluation laboratory (DEMATEL) method. The result suggests that low awareness of SE, risk aversion, and low financial support are the major barriers in the development of SE that need to be mitigated. Further, this analysis also categorises these barriers into a cause-and-effect group. Six barriers belong to the cause group and the remaining four are part of the effect group. Knowledge of the barriers is helpful for policymakers to design development strategies and helps business development managers in the successive planning of the organisation. The understanding of the interrelationship among the barriers will help the organisation to remove these barriers in an optimal manner. The findings of the study will be helpful for top management and strategic planners to advance design thinking and strategic planning. The contribution of this research lies in the identification of barriers to SE and their causal relationships, which have been scarcely examined in the existing literature. Full article
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19 pages, 4831 KiB  
Article
Tunable Device for Long Focusing in the Sub-THz Frequency Range Based on Fresnel Mirrors
by Giancarlo Margheri and Tommaso Del Rosso
Micromachines 2024, 15(6), 715; https://doi.org/10.3390/mi15060715 (registering DOI) - 29 May 2024
Abstract
THz radiation has gained great importance due to its potential applications in a wide variety of fields. For this reason, continuous efforts have been made to develop technological tools for use in this versatile band of the electromagnetic spectrum. Here, we propose a [...] Read more.
THz radiation has gained great importance due to its potential applications in a wide variety of fields. For this reason, continuous efforts have been made to develop technological tools for use in this versatile band of the electromagnetic spectrum. Here, we propose a reflecting device with long focusing performances in the sub-THz band, using a bimirror device in which the relative angle is mechanically adjusted with the displacement of one of the mirrors. Despite the simplicity of the setup, the performance of this device is satisfactory down to a frequency of 0.1 THz. Theory and experience confirm that the bimirror is capable of focusing 0.1 THz radiation with a 2× magnification of the maximum input intensity while maintaining a longitudinal full width at half maximum (FWHM) of about 6 mm, which is about 12 times the depth of focus of a cylindrical optical element of the same focal length. In the absence of suitable THz equipment, the invariance property of the Fresnel diffraction integral allowed the predicted behavior to be tested in the THz range using conventional equipment operating at visible frequencies. Full article
(This article belongs to the Special Issue MEMS in Italy 2023)
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14 pages, 2332 KiB  
Perspective
Mapping Hydrogen Initiatives in Italy: An Overview of Funding and Projects
by Marta Gandiglio and Paolo Marocco
Energies 2024, 17(11), 2614; https://doi.org/10.3390/en17112614 (registering DOI) - 29 May 2024
Abstract
The global momentum towards hydrogen has led to various initiatives aimed at harnessing hydrogen’s potential. In particular, low-carbon hydrogen is recognized for its crucial role in reducing greenhouse gas emissions across hard-to-abate sectors such as steel, cement and heavy-duty transport. This study focuses [...] Read more.
The global momentum towards hydrogen has led to various initiatives aimed at harnessing hydrogen’s potential. In particular, low-carbon hydrogen is recognized for its crucial role in reducing greenhouse gas emissions across hard-to-abate sectors such as steel, cement and heavy-duty transport. This study focuses on the presentation of all hydrogen-related financing initiatives in Italy, providing a comprehensive overview of the various activities and their geographical locations. The examined funding comes from the National Recovery and Resilience Plan (PNRR), from projects directly funded through the Important Projects of Common European Interest (IPCEI) and from several initiatives supported by private companies or other funding sources (hydrogen valleys). Specific calls for proposals within the PNRR initiative outline the allocation of funds, focusing on hydrogen production in brownfield areas (52 expected hydrogen production plants by 2026), hydrogen use in hard-to-abate sectors and the establishment of hydrogen refuelling stations for both road (48 refuelling stations by 2026) and railway transport (10 hydrogen-based railway lines). A detailed description of the funded initiatives (150 in total) is presented, encompassing their geographical location, typology and size (when available), as well as the funding they have received. This overview sheds light on regions prioritising decarbonisation efforts in heavy-duty transport, especially along cross-border commercial routes, as evident in northern Italy. Conversely, some regions concentrate more on local transport, typically buses, or on the industrial sector, primarily steel and chemical industries. Additionally, the study presents initiatives aimed at strengthening the national manufacturing capacity for hydrogen-related technologies, alongside new regulatory and incentive schemes for hydrogen. The ultimate goal of this analysis is to foster connections among existing and planned projects, stimulate new initiatives along the entire hydrogen value chain, raise an awareness of hydrogen among stakeholders and promote cooperation and international competitiveness. Full article
(This article belongs to the Special Issue Hydrogen-Based Energy Systems for Sustainable Transportation)
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12 pages, 2320 KiB  
Article
A Cross-Stage Partial Network and a Cross-Attention-Based Transformer for an Electrocardiogram-Based Cardiovascular Disease Decision System
by Chien-Ching Lee, Chia-Chun Chuang, Chia-Hong Yeng, Edmund-Cheung So and Yeou-Jiunn Chen
Bioengineering 2024, 11(6), 549; https://doi.org/10.3390/bioengineering11060549 (registering DOI) - 29 May 2024
Abstract
Cardiovascular disease (CVD) is one of the leading causes of death globally. Currently, clinical diagnosis of CVD primarily relies on electrocardiograms (ECG), which are relatively easier to identify compared to other diagnostic methods. However, ensuring the accuracy of ECG readings requires specialized training [...] Read more.
Cardiovascular disease (CVD) is one of the leading causes of death globally. Currently, clinical diagnosis of CVD primarily relies on electrocardiograms (ECG), which are relatively easier to identify compared to other diagnostic methods. However, ensuring the accuracy of ECG readings requires specialized training for healthcare professionals. Therefore, developing a CVD diagnostic system based on ECGs can provide preliminary diagnostic results, effectively reducing the workload of healthcare staff and enhancing the accuracy of CVD diagnosis. In this study, a deep neural network with a cross-stage partial network and a cross-attention-based transformer is used to develop an ECG-based CVD decision system. To accurately represent the characteristics of ECG, the cross-stage partial network is employed to extract embedding features. This network can effectively capture and leverage partial information from different stages, enhancing the feature extraction process. To effectively distill the embedding features, a cross-attention-based transformer model, known for its robust scalability that enables it to process data sequences with different lengths and complexities, is employed to extract meaningful embedding features, resulting in more accurate outcomes. The experimental results showed that the challenge scoring metric of the proposed approach is 0.6112, which outperforms others. Therefore, the proposed ECG-based CVD decision system is useful for clinical diagnosis. Full article
(This article belongs to the Section Biosignal Processing)
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20 pages, 836 KiB  
Article
Clinical Presentation of Peyronie’s Disease: A Retrospective Study of 564 Cases
by Gianni Paulis, Giovanni De Giorgio and Andrea Paulis
Diagnostics 2024, 14(11), 1125; https://doi.org/10.3390/diagnostics14111125 (registering DOI) - 29 May 2024
Abstract
Peyronie’s disease (PD) affects the penile albuginea, resulting in penile deformity, pain, erectile dysfunction (ED), and an anxious–depressive state. PD diagnosis involves a thorough medical history, penile palpation, documentation of the penile deformation, a dynamic penile echo color Doppler ultrasound (PCDU), and the [...] Read more.
Peyronie’s disease (PD) affects the penile albuginea, resulting in penile deformity, pain, erectile dysfunction (ED), and an anxious–depressive state. PD diagnosis involves a thorough medical history, penile palpation, documentation of the penile deformation, a dynamic penile echo color Doppler ultrasound (PCDU), and the completion of questionnaires for the evaluation of pain, ED, and psychometric tests. The aim of this study was to evaluate the symptoms of PD and their prevalence in PD patients in the active phase who had access to our andrology clinic. Inclusion criteria: availability of data on patients diagnosed with PD, including detailed medical history, blood tests, penile palpation, photographic documentation of penile deformity, and penile PCDU. Exclusion criteria: PD patients in the stable phase or those without the specified tests and data mentioned above. Our study found a higher prevalence of PD in younger patients (24.2%), a higher coexistence of PD with chronic prostatitis (35.6%), a higher percentage of cases of association between penile deformity and penile curvature (84.4%), a higher prevalence of “significant anxiety” (88.4%), a higher presence of plaque calcification (35.6%), and the detection of a longer duration of the first phase of PD (>18 months). The most frequently observed type of penile curvature was dorsal, followed by left lateral, right lateral, and, less commonly, ventral. We observed a significant statistical correlation between patient age and IIEF score, indicating that patients over the age of 40 years are at a higher risk of experiencing ED. We found a strong statistical relationship between VAS score and age. As age increases, the VAS score decreases, suggesting that younger patients reported more penile pain compared to those who were older than 40 years. Furthermore, we found that penile pain has a significant impact on the psychological state of PD patients. We also found that 38.8% of PD patients suffered from severe anxiety. In relation to this, psychotherapy should be integrated into PD treatment to improve the quality of life and treatment adherence. Full article
(This article belongs to the Special Issue Diagnosis and Prognosis of Urological Diseases)
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13 pages, 892 KiB  
Article
Implications of Stabilometric Assessment in Determining Functional Deficits in Patients with Severe Knee Osteoarthritis: Observational Study
by Marius Neculăeș, Pablo Hernandez-Lucas and Paul Lucaci
J. Clin. Med. 2024, 13(11), 3181; https://doi.org/10.3390/jcm13113181 (registering DOI) - 29 May 2024
Abstract
Background: Osteoarthritis is one of the most frequent joint disorders in the world. The specialists in the field strongly support the role of physical exercise as a key component in the holistic management of arthrosis. The aim of the current study was [...] Read more.
Background: Osteoarthritis is one of the most frequent joint disorders in the world. The specialists in the field strongly support the role of physical exercise as a key component in the holistic management of arthrosis. The aim of the current study was to identify and assess the functional deficit of these patients and to identify means to alleviate it through pre-surgery physiotherapy programs. Methods: The study was conducted on two samples of patients: a witness sample, encompassing 126 subjects without pathologies at the level of their lower limbs, and a study sample, formed of 116 subjects diagnosed with severe gonarthrosis with total knee arthroplasty indication. The assessment protocol was accomplished with the GPS 400 stabilometric platform. Results: The barycenter differences within the support polygon, recorded for the two samples within sagittal deviation, emphasize that the barycenter shifting mainly towards the healthy lower limb will demand, from the individual, more intense rebalancing postural reactions that will place the center-of-gravity projection in the sagittal plane, closer to the central area of the support polygon. Conclusions: In the case of gonarthrosis and other joint disorders, the use of functional testing to assess body weight distribution and center-of-gravity imbalances represents a promising direction in the research on and management of these disorders, providing essential information for functional diagnosing and thus enabling the elaboration and monitoring of individualized functional rehabilitation plans. Full article
(This article belongs to the Special Issue Knee Osteoarthritis: Clinical Updates and Perspectives)
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14 pages, 2569 KiB  
Article
Active Breaks Reduce Back Overload during Prolonged Sitting: Ergonomic Analysis with Infrared Thermography
by Martina Sortino, Bruno Trovato, Marta Zanghì, Federico Roggio and Giuseppe Musumeci
J. Clin. Med. 2024, 13(11), 3178; https://doi.org/10.3390/jcm13113178 (registering DOI) - 29 May 2024
Abstract
Background: Prolonged sitting is a potential risk factor for musculoskeletal disorders in office workers. This study aims to evaluate the effect of active breaks on reducing muscle overload in subjects who sit for long periods using infrared thermography (IRT). Methods: A sample of [...] Read more.
Background: Prolonged sitting is a potential risk factor for musculoskeletal disorders in office workers. This study aims to evaluate the effect of active breaks on reducing muscle overload in subjects who sit for long periods using infrared thermography (IRT). Methods: A sample of 57 office workers participated in this study and were divided into two groups: active breaks (ABs) and no active breaks (NABs). The NAB group sat continuously for 90 min without standing up, while the AB group performed stretching and mobility exercises every 30 min. IRT measurements were taken every 30 min before the active breaks. Results: The results highlight that the skin temperature of the back increased significantly in both groups after 30 min of sitting; however, in the subsequent measurements, the AB group showed a decrease in temperature, while the NAB group maintained a high temperature. Exercise and time point of measurement all reported p-values < 0.001; there were no statistically significant differences between the Δt0-1 of the NAB and AB groups, while the Δt1-2 and Δt1-3 of the NAB and AB groups showed statistically significant differences for all back regions. Conclusions: The clinical relevance of this study confirms the negative effects of prolonged sitting on the health of the back, demonstrating that active breaks can reduce back strain, emphasizing the need for workplace interventions. In addition, IRT represents a non-invasive method to assess back muscle overload and monitor the effectiveness of interventions in all categories of workers who maintain a prolonged sitting position. The main limitation of this study is the absence of a questionnaire for the assessment of back pain, which does not allow a direct correlation between temperature changes and back pain outcomes. Full article
(This article belongs to the Special Issue Clinical Management and Rehabilitation of Spinal Cord Injury)
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24 pages, 2309 KiB  
Article
Implementation of a Parallel Algorithm to Simulate the Type I Error Probability
by Francisco Novoa-Muñoz
Mathematics 2024, 12(11), 1686; https://doi.org/10.3390/math12111686 (registering DOI) - 29 May 2024
Abstract
Simulating the probability of type I error is a powerful statistical tool that allows confirming if the statistical test achieves the established nominal level. However, its computational implementation has the drawback of significantly long execution times. Therefore, this article analyzes the performance of [...] Read more.
Simulating the probability of type I error is a powerful statistical tool that allows confirming if the statistical test achieves the established nominal level. However, its computational implementation has the drawback of significantly long execution times. Therefore, this article analyzes the performance of two parallel implementations (parRapply and boot) which significantly reduce the execution time of simulations of type I error probability for a goodness-of-fit test for the bivariate Poisson distribution. The results obtained demonstrate how the parallelization strategies accelerate the simulations, reducing the time by 50% to 90% when using 2 to 12 processors running in parallel. This reduction is graphically evidenced as the execution time of the analyzed parallel versions fits almost perfectly (R20.999) to the power model y=apb, where p is the number of processors used, and a>0 and b<0 are the constants of the model. Furthermore, it is shown that the parallelization strategies used scale with an increasing number of processors. All algorithms were implemented in the R programming language, and their code is included at the end of this article. Full article
(This article belongs to the Special Issue Mathematical Modeling for Parallel and Distributed Processing)
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26 pages, 3541 KiB  
Review
Understanding Rare Anemias: Emerging Frontiers for Diagnosis and Treatment
by Joan-Lluis Vives Corrons
J. Clin. Med. 2024, 13(11), 3180; https://doi.org/10.3390/jcm13113180 (registering DOI) - 29 May 2024
Abstract
Background—This review provides a comprehensive overview of rare anemias, emphasizing their hereditary and acquired causes, diagnostic advancements, and evolving treatment strategies. It outlines the significance of rare anemias within public health, historical challenges in recognition and treatment, and the role of European [...] Read more.
Background—This review provides a comprehensive overview of rare anemias, emphasizing their hereditary and acquired causes, diagnostic advancements, and evolving treatment strategies. It outlines the significance of rare anemias within public health, historical challenges in recognition and treatment, and the role of European initiatives like ENERCA and EuroBloodNet in advancing care. Content—This document discusses diagnostic technologies like next-generation sequencing and the impact of artificial intelligence, alongside the promising avenues of gene therapy, targeted drug treatments, and stem cell transplantation. It underscores the importance of a patient-tailored approach, advances in diagnostic tools, and the necessity for continued research, patient advocacy, and international collaboration to improve outcomes for individuals with rare anemias. Full article
(This article belongs to the Special Issue Innovative Treatments for Anemias)
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23 pages, 10885 KiB  
Article
Timing and Tectonic Implications of the Development of the Orosirian Qianlishan Ductile Shear Zones in the Khondalite Belt, North China Craton
by Hengzhong Qiao, Miao Liu and Chencheng Dai
Minerals 2024, 14(6), 561; https://doi.org/10.3390/min14060561 (registering DOI) - 29 May 2024
Abstract
Orogen-parallel ductile shear zones are conspicuous structures in the Khondalite Belt, but the timing of shearing remains poorly understood. Here, we present field-based structural and zircon U-Pb geochronological studies on the newly discovered Qianlishan ductile shear zones (QDSZ) in the Khondalite Belt. Our [...] Read more.
Orogen-parallel ductile shear zones are conspicuous structures in the Khondalite Belt, but the timing of shearing remains poorly understood. Here, we present field-based structural and zircon U-Pb geochronological studies on the newly discovered Qianlishan ductile shear zones (QDSZ) in the Khondalite Belt. Our results show that the nearly E-W-trending QDSZ are characterized by steeply S(SW)-dipping mylonitic foliations and mainly display a top-to-N(NE) sense of shearing. Two pre-kinematic intrusions yielded zircon crystallization ages of 2055 ± 17 Ma and 1947 ± 9 Ma, providing the maximum age limit for the QDSZ. Additionally, zircon overgrowth rims from three high-temperature mylonites gave metamorphic ages of 1902 ± 8 Ma, 1902 ± 26 Ma and 1884 ± 12 Ma, interpreted to record the timing of development of the QDSZ. Integrated with previous studies, we propose that the Qianlishan Complex suffered three phases of Orosirian deformation (D1–D3), of which the D3 deformation led to the development of the QDSZ. Deformation events D1, D2 and D3 are considered to have occurred at ca. 1.97–1.93 Ga, 1.93–1.90 Ga and 1.90–1.82 Ga, respectively. These events document that the Khondalite Belt underwent a protracted (>100 Myr) orogenic history in response to the collision between the Yinshan and Ordos blocks. Full article
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18 pages, 1121 KiB  
Review
Metabolic Regulation of Endothelial Cells: A New Era for Treating Wet Age-Related Macular Degeneration
by Xirui Chen, Yang Xu, Yahan Ju and Ping Gu
Int. J. Mol. Sci. 2024, 25(11), 5926; https://doi.org/10.3390/ijms25115926 (registering DOI) - 29 May 2024
Abstract
Wet age-related macular degeneration (wet AMD) is a primary contributor to visual impairment and severe vision loss globally, but the prevailing treatments are often unsatisfactory. The development of conventional treatment strategies has largely been based on the understanding that the angiogenic switch of [...] Read more.
Wet age-related macular degeneration (wet AMD) is a primary contributor to visual impairment and severe vision loss globally, but the prevailing treatments are often unsatisfactory. The development of conventional treatment strategies has largely been based on the understanding that the angiogenic switch of endothelial cells (ECs) is mainly dictated by angiogenic growth factors. Even though treatments targeting vascular endothelial growth factor (VEGF), like ranibizumab, are widely administered, more than half of patients still exhibit inadequate or null responses, suggesting the involvement of other pathogenic mechanisms. With advances in research in recent years, it has become well recognized that EC metabolic regulation plays an active rather than merely passive responsive role in angiogenesis. Disturbances of these metabolic pathways may lead to excessive neovascularization in angiogenic diseases such as wet AMD, therefore targeted modulation of EC metabolism represents a promising therapeutic strategy for wet AMD. In this review, we comprehensively discuss the potential applications of EC metabolic regulation in wet AMD treatment from multiple perspectives, including the involvement of ECs in wet AMD pathogenesis, the major endothelial metabolic pathways, and novel therapeutic approaches targeting metabolism for wet AMD. Full article
(This article belongs to the Special Issue Advances on Retinal Diseases 2.0)
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